Individual
JEAN-MARC ST LAURENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
7209 CURRY FORD RD, ORLANDO, FL 32822-5809
(407) 421-7284
Mailing address
204 SANDALWOOD DR, KISSIMMEE, FL 34743-7808
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
10386
FL
Other
Enumeration date
08/14/2008
Last updated
08/14/2008
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